<div class="layui-form" lay-filter="layuiadmin-app-form-list" id="layuiadmin-app-form-list"style="padding: 20px 30px 0 0;">
  <div class="layui-form-item">
    <label class="layui-form-label">会员名称</label>
    <div class="layui-input-inline">
      <script type="text/html" template>
        <input type="text" name="name"  placeholder="请输入会员名称" autocomplete="off" class="layui-input">
      </script>
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">性别</label>
    <div class="layui-input-inline">
      <input type="radio" name="sex" value="男" title="男">
      <input type="radio" name="sex" value="女" title="女" checked>
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">身份</label>
    <div class="layui-input-inline">
      <input type="radio" name="category" value="学生" title="学生" checked>
      <input type="radio" name="category" value="老师" title="老师">
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">身份证号</label>
    <div class="layui-input-inline">
      <script type="text/html" template>
        <input type="text" name="card" value="{{ d.params.title || '' }}"  placeholder="请输入身份证号" autocomplete="off" class="layui-input">
      </script>
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">系别</label>
    <div class="layui-input-inline">
      <select name="department" lay-filter="aihao">
        <option value="">--请选择--</option>
        <option value="贸易经济系" {{ d.params.label === '贸易经济系' ? 'selected' : '' }}>贸易经济系</option>
        <option value="信工系" {{ d.params.label === '信工系' ? 'selected' : '' }}>信工系</option>
        <option value="粮食工程系" {{ d.params.label === '粮食工程系' ? 'selected' : '' }}>粮食工程系</option>
        <option value="机电系" {{ d.params.label === '机电系' ? 'selected' : '' }}>机电系</option>
        <option value="财务会计系" {{ d.params.label === '财务会计系' ? 'selected' : '' }}>财务会计系</option>
      </select>
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">专业</label>
    <div class="layui-input-inline">
      <select name="profession" lay-filter="aihao">
        <option value="">--请选择--</option>
        <option value="网络营销" {{ d.params.label === '网络营销' ? 'selected' : '' }}>网络营销</option>
        <option value="Java开发" {{ d.params.label === 'java开发' ? 'selected' : '' }}>java开发</option>
        <option value="运维工程师" {{ d.params.label === '运维工程师' ? 'selected' : '' }}>运维工程师</option>
      </select>
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">年级</label>
    <div class="layui-input-inline">
      <script type="text/html" template>
        <input type="text" name="grade"  placeholder="请输入年级" autocomplete="off" class="layui-input">
      </script>
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">手机号</label>
    <div class="layui-input-inline">
      <script type="text/html" template>
        <input type="text" name="phone" placeholder="请输入手机号" autocomplete="off" class="layui-input">
      </script>
    </div>
  </div>
  <div class="layui-form-item">
    <label class="layui-form-label">状态</label>
    <div class="layui-input-inline">
      <input type="radio" name="status" value="0" title="0" checked>
      <input type="radio" name="status" value="1" title="1">
    </div>
  </div>
  <script type="text/html" template>
    <input type="hidden" name="id" value="{{ d.params.id || '' }}">
  </script>
  <script type="text/html" template>
    <input type="hidden" name="cardNo" value="{{ d.params.cardNo || '' }}">
  </script>
  <script type="text/html" template>
    <input type="hidden" name="regdate" value="{{ d.params.regdate || '' }}">
  </script>
  <div class="layui-form-item">
    <label class="layui-form-label"></label>
    <div class="layui-input-inline">
      <input type="button" lay-submit lay-filter="layuiadmin-app-form-submit" value="确认" class="layui-btn">
    </div>
  </div>
</div>